MS. SASHI A ZICKEFOOSE (NPI# 1407139371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407139371 |
| Entity Type | Individual |
| Full Name | MS. SASHI A ZICKEFOOSE |
| Credential | NP-C |
| Practice Address |
550 Pope Ave Fort Leavenworth KS 66027 |
| Mailing Address |
550 Pope Ave Fort Leavenworth KS 66027-2332 |
| Practice Telephone | 9136846601 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP4449 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN116155 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
550 POPE AVE |
| City | FORT LEAVENWORTH |
| State | KS |
| Zip Code | 66027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449316 | Jerry Lee Green Jr. | Nurse Practitioner | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2005-07-06 |
| 1780283531 | Nicole Hazelton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-22 |
| 1437758687 | Drusilla Cox | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-20 |
| 1780216606 | Robin Michelle Collie | Social Worker | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-02-08 |
| 1285083162 | Courtney Spongberg | Physical Therapist | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2016-06-10 |
| 1992107627 | Munson Army Health Center | Clinic/Center | 550 Pope Ave, Bldg 343, Room 1a146, Fort Leavenworth, KS 66027-2332 | 2014-09-25 |
| 1609278118 | Denise Dennell Hinton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2014-09-16 |
| 1730593567 | Munson Army Health Center | Military/U.S. Coast Guard Pharmacy | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2014-06-19 |
| 1588928758 | Susana Suyapa Guerrero | Social Worker | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-07-02 |
| 1194096271 | Jennifer Marlene Diggs | Licensed Practical Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376801019 | Sarah M. Galloway | Counselor | 32 Pick Ave, Fort Leavenworth, KS 66027 | 2012-05-01 |
| 1659566750 | Dong S Lee | Dentist | Us Army Dental Health Activity, 520 Pope Avenue, Fort Leavenworth, KS 66027 | 2007-09-11 |
| 1942354998 | Shaun Lydell Kanion | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1366518433 | Munson Army Health Center | Clinic/Center | Munson Army Health Center, 550 Pope Avenue, Fort Leavenworth, KS 66027 | 2006-11-28 |
| 1063594158 | Ellen Henley Galloway | Psychologist | 1301 North Warehouse Rd, Usdb-dtp, Ft Leavenworth, KS 66027 | 2006-10-19 |
| 1083666770 | Mary Shancy Francis | Family Medicine | Munson Army Health Center 550 Pope Ave, Leavenworth, KS 66027 | 2006-05-17 |
| 1053601724 | Forest Tu Pavel | Counselor | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027 | 2011-04-14 |
| 1629242797 | Willy Clarkson Cornett | Registered Nurse | 550 Pope Avenue, Munson Army Health Center, Fort Leavenworth, KS 66027 | 2008-04-18 |
| 1356495394 | Kevin Michael Madjarac | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1548468465 | Sara Anne Dame | Licensed Practical Nurse | 505 Pope, Ft. Leavenworth, KS 66027-0000 | 2007-07-03 |
| Find all providers in zip 66027 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449316 | Jerry Lee Green Jr. | Nurse Practitioner | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2005-07-06 |
| 1407837404 | Ernest Francia Degenhardt | Nurse Practitioner | 550 Pope Ave, Munson Army Health Center (attn) Mcxn-cod. Ms Cotton, Fort Leavenworth, KS 66027-2332 | 2005-11-08 |
| 1982695698 | Karla Michelle Robinson | Nurse Practitioner | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2005-11-02 |
| 1457341968 | James Lawrence Sall | Nurse Practitioner | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252490 | Angela Lanae Spence | Nurse Practitioner | 618 Garfield St, Clay Center, KS 67432-1823 | 2020-10-12 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1427655414 | Trent Dylan Befort | Nurse Practitioner | 1012 Green St, Pratt, KS 67124-1311 | 2020-10-03 |
| 1083211031 | Amanda Pierce | Nurse Practitioner | 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 | 2020-10-02 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
| City | FORT LEAVENWORTH |
| Zip Code | 66027 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.